Jackson, Thomas Andrew
Jackson, Thomas Andrew is an individual health care provider with primary practice located at 1995 East State Street Salem Regional Medical Center, Salem OH 44460. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Jackson, Thomas Andrew can be contacted via phone (330) 332-1551.Contact Information
Primary practice address
1995 East State Street Salem Regional Medical Center
Salem OH 44460
Phone: (330) 332-1551
Fax: (330) 332-7899
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | COA.18640-NA | Ohio |
Nursing Service Providers / Registered Nurse | 163W00000X | RN.396530-1 | Ohio |
Profile Details
NPI number | 1740649011 |
---|---|
LBN Legal business name | Jackson, Thomas Andrew |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 16th, 2016 |
Last updated | Nov 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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